仿生物电刺激对腹腔镜子宫肌瘤剔除术后胃肠功能恢复的影响  

Effects of biomimetic electrical stimulation on gastrointestinalfunction recovery after laparoscopic myomectomy

作　　者：洪开 张春莲 李秋月 胡艳玲 HONG Kai;ZHANG Chunlian;LI Qiuyue;HU Yanling(Department of Gynecology and Obstetrics,Shiyan Taihe Hospital/The Affiliated Hospital of Hubei University of Medicine,Hubei Shiyan 442000,China;Xiangzhou District People's Hospital of Xiangyang City,Hubei Xiangyang 441000,China;Graduate School of Hubei University of Medicine,Hubei Shiyan 442000,China)

机构地区：[1]十堰市太和医院湖北医药学院附属医院妇产科,湖北十堰442000 [2]襄阳市襄州区人民医院,湖北襄阳441000 [3]湖北医药学院研究生院,湖北十堰442000

出　　处：《中国妇幼健康研究》2024年第6期96-102,共7页Chinese Journal of Woman and Child Health Research

基　　金：湖北省卫生健康委员会科研项目(WJ2019F056)。

摘　　要：目的探讨仿生物电刺激对腹腔镜子宫肌瘤剔除术(LM)后胃肠功能恢复的影响。方法采用临床随机对照试验研究方法,选取2021年5月至2022年11月于十堰市太和医院妇科诊断为子宫肌瘤的68患者为研究对象,随机分为对照组[加速康复外科(ERAS)术后护理]、电刺激组(ERAS术后护理加用仿生物电刺激治疗)各34例。结果两组患者一般资料、术中情况差异均无统计学意义(P>0.05);与对照组相比,电刺激组术后肠鸣音恢复时间、首次排气时间、首次排便时间均较短,差异有统计学意义(χ^(2)/t/Z值分别为12.845、-5.841、-4.893,P<0.05);电刺激组腹胀评分低于对照组,差异有统计学意义(Z=-3.121,P<0.05);两组恶心呕吐评分差异无统计学意义(P>0.05);电刺激组术后第2天视觉模拟评分(VAS)低于对照组,差异有统计学意义(Z=-6.151,P<0.05),但两组患者术后第1天及第3天疼痛评分无明显差异(P>0.05);两组患者术后拔除尿管、腹腔引流管时间差异均无统计学意义(P>0.05);研究期间两组患者均未发生严重不良反应。结论仿生物电刺激治疗对LM后胃肠功能的早期恢复有促进作用。Objective To explore effect of biomimetic electrical stimulation on recovery of gastrointestinal function of patients following laparoscopic myomectomy(LM).Methods In clinical randomized controlled trial research method,68 patients who were diagnosed as hysteromyoma in Department of Gynecology of Shiyan Taihe Hospital from May 2021 to November 2022 were selected as study subjects,and were randomly divided into control group[enhanced recovery after surgery(ERAS)postoperative care group,n=34]and electrical stimulation group(ERAS postoperative care plus biomimetic electrical stimulation treatment group,n=34).Results There were no statistically significant differences in general information and intraoperative conditions between the two groups(all P>0.05).Compared with the control group,the postoperative recovery time of bowel sounds,the first postoperative exhaust time,and the first postoperative defecation time of the patients in the electrical stimulation group were all shorter,and the differences were statistically significant(χ^(2)/t/Z=12.845,-5.841 and-4.893 respectively,all P<0.05).The bloating score of the patients in the electrical stimulation group was lower than that in the control group,and the difference was statistically significant(Z=-3.121,P<0.05).There were no statistically significant differences in nausea and vomiting scores between the two groups(both P>0.05).The visual analogue scale(VAS)of the patients in the electrical stimulation group was lower than that in the control group at the 2nd day after operation,and the difference was statistically significant(Z=-6.151,P<0.05),however,there was no statistically significant difference in pain scores of the patients in the 1st and 3rd days after operation between the two groups(both P>0.05).There were no significant differences in the urinary catheter removing time and abdominal drainage tube removing time between the two groups(both P>0.05).No serious adverse reactions occurred in the two groups during the study period.Conclusion Biomimetic electrica

关 键 词：仿生物电刺激 腹腔镜子宫肌瘤剔除术 胃肠功能 加速康复外科 

分 类 号：R173[医药卫生—妇幼卫生保健]